高龄心力衰竭患者静息心率与心功能预后的相关性分析  

Relationship between the resting heart rate and prognosis in senile patients with chronic heart failure

作　　者：刘定彬[1] 张红亮[1] 王玉玲[1] 张伟[1] 刘军玺[1] 郭志平[1] 刘桂清[1] 

机构地区：[1]解放军第二五一医院干部病房科,张家口075000

出　　处：《中国临床保健杂志》2013年第1期52-54,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨高龄心力衰竭患者入院时静息心率与其心功能预后的相关性。方法统计79例高龄慢性心力衰竭(CHF)患者,在循证医学标准治疗的基础上,对其入院时的静息心率与其出院时及随访后的心功能及预后进行相关性分析。结果高龄组(≥80岁)入院时的静息心率与出院时的疗效(相关系数-0.385;P=0.000)、随访疗效(相关系数-0.351;P=0.002)显著负相关;与总死亡率(相关系数0.247;P=0.028)显著正相关;而本研究中老年组(<80岁)相关性不明显。总体样本分析显示:全组CHF患者入院时的静息心率与出院时的疗效(相关系数-0.163;P=0.017)、随访疗效(相关系数-0.161;P=0.019)呈负相关;与总死亡率(相关系数0.162;P=0.018)显著正相关。结论老年心力衰竭患者尤其是高龄老人心力衰竭患者的静息心率越快,其治疗效果越差,死亡率越高。Objective To analyse the relationship between the resting heart rate（RHR） on admission and prognosis of heart function in senile patients with chronic heart failure（CHF）.Methods 79 senile cases of CHF were studied,on the base of therapy of Evidence-Based Medicine,their RHR and prognosis of heart function on admission、discharge、follow-up were analyzed.Results There was negative correlation between the RHR and the discharge effect（r=-0.385,P=0.000）,follow-up effect（r=-0.351,P=0.002） in senile patients group,but there was significant positive correlation with the deaths total rate（r=0.247,P=0.028）.Compared with subset,the correlation was significant in senile patients group,but was not significant in the older group less than 80 years old.The overall sample analysis showed：there was negative correlation between the RHR and the discharge effect（r=-0.163,P=0.017）,follow-up effect（r=-0.161,P=0.019）,but there was significant positive correlation compared with the deaths total rate（r=0.162,P=0.018）.Conclusion The elderly CHF patients,especially for senile patients with CHF,the faster of the RHR,the lower of the therapeutic efficacy,the higher of the death rate.

关 键 词：心力衰竭 充血性 心率 预后 老年人 80以上 

分 类 号：R541.61[医药卫生—心血管疾病]